Nursing Elites

1. Maternal high blood glucose _________.

• A. can cause Rh factor incompatibility
• B. is linked to poorer memory in early childhood
• C. is linked to low birth weight
• D. can cause the mother's blood pressure to increase sharply

Correct answer: B

Rationale: Maternal high blood glucose is linked to poorer memory in early childhood. Research has shown that exposure to high levels of maternal blood glucose during pregnancy may negatively impact a child's memory development in early childhood. This highlights the importance of managing blood glucose levels during pregnancy for the health and development of the child. Choices A, C, and D are incorrect because they do not reflect the established link between maternal high blood glucose and poorer memory in early childhood. Rh factor incompatibility is related to blood type differences between the mother and the fetus, low birth weight can be linked to various factors other than maternal blood glucose, and sharp increases in the mother's blood pressure are not directly associated with maternal high blood glucose.

2. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

3. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

4. Certified nurse-midwives __________.

• A. cannot legally deliver babies at home in most states
• B. have degrees in nursing and additional training in childbirth management
• C. can perform cesarean deliveries and administer medication to control pain
• D. are not medical professionals, but are trained in labor and delivery support Answer: B Page Ref: 96 Skill Level: Understand with each. Topic: Approaches to Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Certified nurse-midwives have degrees in nursing and additional training in childbirth management. They are qualified to provide prenatal care, support during labor and delivery, as well as postpartum care. They are licensed medical professionals who can assist with normal childbirth, but they do not perform surgical procedures like cesarean deliveries. They also focus on providing holistic and personalized care to women throughout the childbirth process.

5. The information-processing perspective __________.

• A. examines separate aspects of thinking
• B. fails to consider biological influences on cognitive development
• C. applies only to children in cultures having formal schooling
• D. focuses on overall cognitive change

Correct answer: A

Rationale: The information-processing perspective focuses on how individuals process, store, and retrieve information. Choice A, 'examines separate aspects of thinking,' accurately reflects this perspective. The other choices are incorrect. Choice B is incorrect because the information-processing perspective does consider biological influences on cognitive development. Choice C is incorrect as this perspective is not limited to children in cultures with formal schooling. Choice D is incorrect as the information-processing perspective does not focus on overall cognitive change, but rather on the specific processes involved in information processing.

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